摘要
目的:分析抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿的临床效果。方法:回顾性分析66例老年慢性阻塞性肺气肿患者的临床资料,将其随机分为观察组与对照组,每组各33例,所有患者均进行基础治疗,其中对照组采用抗生素治疗,观察组采用抗生素联合糖皮质激素的治疗方案,比较两组的血气指标改善情况及治疗效果。结果:经过治疗所有患者的氧分压及二氧化碳分压均有显著改善,而观察组指标改善效果优于对照组,差异具统计学意义(P <0.05);观察组总有效率90.91%,对照组总有效率75.76%,观察组显著高于对照组,差异具统计学意义(P <0.05)。结论:抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿效果确切,值得临床推广。
Abstract
Objective:to analyze the clinical ef ects of antibiotics combined with glucocorticoid in the treatment of elderly patients with chronic obstructive pulmonary emphysema.Meth-ods:retrospective analysis of the clinical data of 66 cases of elderly patients with chronic obstructive pulmonary emphysema,it wil be randomly divided into observation group and control group, 33 cases in each group,al the patients were given the basic treatment,the control group used antibiotic treatment,the observation group used antibiotic therapy combined with glucocorticoids, blood gas indexes comparison of two group improved conditions and treatment ef ect.Results:after treatment,al patients with partial pressure of oxygen and carbon dioxide partial pressure were significantly improved,and the observation group index is significantly bet er than that of control group,the dif erence has statistical significance (P <0.05);observation group total ef ectiveness 90.91%,the comparison group total ef ectiveness 75.76%,the observation group was significantly higher than that of the control group,the dif erence has statistical significance (P <0.05). Conclusion:antibiotics combined with glucocorticoid an exact treatment of senile chronic obstructive emphysema,is worth the clinical promotion.